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Palliative Care Screening for Persons Living with Dementia in a Nursing Home.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Palliative Care Screening for Persons Living with Dementia in a Nursing Home./
作者:	Pruitt, Shanika S.
面頁冊數:	1 online resource (25 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-03, Section: B.
Contained By:	Dissertations Abstracts International84-03B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29321326click for full text (PQDT)
ISBN:	9798841780922

Palliative Care Screening for Persons Living with Dementia in a Nursing Home.
Pruitt, Shanika S.

Palliative Care Screening for Persons Living with Dementia in a Nursing Home. - 1 online resource (25 pages)

Source: Dissertations Abstracts International, Volume: 84-03, Section: B.

Thesis (D.N.P.)--University of Missouri - Saint Louis, 2022.

Includes bibliographical references

Problem: Dementia is rapidly increasing as the people of the world mature and life expectancy increases. As the world ages and the prevalence of dementia increases, nursing home placement will and is the most sought place for care of this population. Dementia is under recognized as a terminal illness and palliative care is underutilized for nursing home residents with advanced symptoms of dementia.Methods: This quality improvement (QI) initiative utilized a prospective, descriptive design. The Palliative Care Screening for the Elderly tool was administered to a purposive sample of persons living with dementia residing in the nursing home. Qualitative data was collected over 12 weeks. Data collected included age, sex, race, location, dementia diagnosis, decreased oral intake, weight loss, incontinence, decreased physical activity, new or worse pressure ulcer, fall, emergency room visits, and orders for palliative care. Results: Following the implementation of the residents screened over the course of 12 weeks, (n = 52) were eligible for palliative care orders. Eleven residents were referred to palliative care, resulting in 21.3% of residents living with dementia receiving palliative services. Implications for Practice: Standardized utilization of the Palliative Care Screening for the Elderly tool could further identify residents at risk for deconditioning and help to initiate interventions before a severe decline occurs. The early recognition of deterioration can positively affect quality of life and reduce suffering. Additionally, the early identification of CMS quality indicators can positively affect a nursing home star rating.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798841780922Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Alzheimer'sIndex Terms--Genre/Form:

542853
Electronic books.

Palliative Care Screening for Persons Living with Dementia in a Nursing Home.
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500 $a Advisor: Magnuson, Nancy.
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504 $a Includes bibliographical references
520 $a Problem: Dementia is rapidly increasing as the people of the world mature and life expectancy increases. As the world ages and the prevalence of dementia increases, nursing home placement will and is the most sought place for care of this population. Dementia is under recognized as a terminal illness and palliative care is underutilized for nursing home residents with advanced symptoms of dementia.Methods: This quality improvement (QI) initiative utilized a prospective, descriptive design. The Palliative Care Screening for the Elderly tool was administered to a purposive sample of persons living with dementia residing in the nursing home. Qualitative data was collected over 12 weeks. Data collected included age, sex, race, location, dementia diagnosis, decreased oral intake, weight loss, incontinence, decreased physical activity, new or worse pressure ulcer, fall, emergency room visits, and orders for palliative care. Results: Following the implementation of the residents screened over the course of 12 weeks, (n = 52) were eligible for palliative care orders. Eleven residents were referred to palliative care, resulting in 21.3% of residents living with dementia receiving palliative services. Implications for Practice: Standardized utilization of the Palliative Care Screening for the Elderly tool could further identify residents at risk for deconditioning and help to initiate interventions before a severe decline occurs. The early recognition of deterioration can positively affect quality of life and reduce suffering. Additionally, the early identification of CMS quality indicators can positively affect a nursing home star rating.
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538 $a Mode of access: World Wide Web
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650 4 $a Gerontology. $3 533633
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